Individual provider Active NPI

Marie Myrick, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1821555079
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11029514 Issued in FL
Practice address
1820 Miccosukee CMNS
Tallahassee, FL 32308-5432
Phone
(850) 765-8120
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11029514 FL Primary

Addresses

Primary practice location

1820 Miccosukee CMNS
Tallahassee, FL 32308-5432

Mailing address

1820 Miccosukee Commons Dr
Tallahassee, FL 32308-5432
Phone (850) 765-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722003489 FL Practitioner - Nurse Practitioner 5092251413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida First Psychiatry Specialist LLCGroup PAC ID 3072847011, 2 clinicians
Ability Plus Mental Health LLCGroup PAC ID 0143631226, 8 clinicians

Practice addresses (Care Compare)

1820 Miccosukee Commons Dr
Tallahassee, FL 32308-5432
Phone (850) 765-8120

9292 Shoal Creek Dr
Tallahassee, FL 32312-4277
Phone (256) 374-2468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029514FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida First Psychiatry Specialist LLC CurrentSince May 10, 2024 Accepting new patients
Ability Plus Mental Health LLC Psychiatric/Mental Health CurrentSince May 10, 2024 Accepting new patients

Locations

1820 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 765-8120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22459/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marie.myrick.1@22459.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1821555079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085432",
            "telephone_number": "850-765-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MICCOSUKEE CMNS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085432",
            "telephone_number": "850-765-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "MARIE",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.